Patient Centered Care to Reduce Surgical Site Infection in Geriatric Patients : A Scooping Review Protocol

Abstract

- Objective: The objectives of this scooping review are to analysis of Patient Centered Care (PCC) implementation on Surgical Site Infection (SSI) reduction in geriatric patients. The results of this scooping review are expected to provide information related to the implementation of PCC to reduce the incidence of SSI in geriatric patients. Introduction: There are at least 234 million operations every year, with the frequency of occurrence of SSI reaching more than 20% in the world. During the last decade, the incidence of SSI has increased very rapidly each year, about 500,000 patients experiencing SSI. Age has been confirmed as a risk factor for SSI after surgery. Currently the geriatric population is increasing rapidly throughout the world. The advancement of health care is an important factor in efforts to prolong life. This phenomenon in turn becomes a challenge for the health service system. Health workers who are in charge of caring for patients required to provide good health services. Currently PCC is emerging as the main approach in patient care. Inclusion criteria: The review will include published papers that discuss changes in the incidence of SSI in geriatrics by applying PCC. Methods: Search will be carried out to identify literature published between 2012 and 2021. The databases that will be used to search for related journals are: PubMed, Scopus, and EBSCO. The PRISMA protocol will be used in this study. Literature is selected in accordance with the inclusion criteria and then will be critical appraisal and analyzed. Result: From several studies it was found that there was a decrease in the Surgical Site Infection rate in the intervention group that applied a multidisciplinary team approach or used bundle care in the implementation of Patient Centered Care. The application of PCC is even more significant to reduce SSI in patients who have higher ASA (The American Society of Anesthesiologists) levels, including patients with old age. Conclusion: Geriatric population has unique physiological and social demands. Collaborative care models lead to better outcomes and care for patients and also offer cost savings in healthcare systems.